<div id="order-call_div">
	<div id="close_order_order_call_window"><a href="javascript:;" onclick="hideModalWindow()"><img src="<?=HTTP_HOST ?>/images/controll/close2.png"></a></div>
	<div class="order_call_label">Имя:</div>
	<input type="text" name="name"/>
	<div class="order_call_label">Фамилия:</div>
	<input type="text" name="surname"/>
	<div class="order_call_label">Телефон:</div>
	<input type="text" name="phone"/>
	<div class="order_call_label">Почтовый адрес:</div>
	<input type="text" name="mail"/>
	<div id="order_call_submit" onclick="sendRequest()">Отправить</div>
</div>